Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-011463 | Outreach address corrected Outreach | Omar Nunez: 518 Baseline Rd, Mesa → 518 Baseline Rd # 798, Mesa |
| Proposed | — | ||
| ACT-011464 | Outreach address corrected Outreach | Zachary Stevens: 6226 River Rd, Fresno → 6105 Park Pl, Chandler |
| Proposed | — | ||
| ACT-011465 | Outreach address corrected Outreach | George Dominguez: 684 Highland Ave Apt 7, Scottsdale → 684 Highland Ave, Scottsdale |
| Proposed | — | ||
| ACT-011466 | Outreach address corrected Outreach | Cynthia Carlson: 7120 Oak St, Las Vegas → 7120 Oak St # 464, Las Vegas |
| Proposed | — | ||
| ACT-011467 | Outreach address corrected Outreach | Kathlean Silva: 3778 Church St, Glendale → 3778 Church St Apt 4, Glendale |
| Proposed | — | ||
| ACT-011468 | Outreach address corrected Outreach | Jose Chapman: 3582 Pine Dr, Sacramento → 3582 Pine Dr Apt 40, Sacramento |
| Proposed | — | ||
| ACT-011469 | Outreach address corrected Outreach | Gary Miller: 4974 Union St, Miami → 6416 Harbor Blvd, Los Angeles |
| Proposed | — | ||
| ACT-011470 | Outreach address corrected Outreach | Jeremy Williamson: 9294 Maple Ave # 568, San Antonio → 9294 Maple Ave, San Antonio |
| Proposed | — | ||
| ACT-011471 | Outreach address corrected Outreach | Logan Phillips: 3710 Mountain View Dr Apt 32, Orlando → 3710 Mountain View Dr, Orlando |
| Proposed | — | ||
| ACT-011472 | Outreach address corrected Outreach | Stephen Armstrong: 6996 Spring St Apt 22, Phoenix → 6996 Spring St, Phoenix |
| Proposed | — | ||
| ACT-011473 | Outreach address corrected Outreach | Mei Sanchez: 4230 Lincoln Way Apt 10, Jacksonville → 4230 Lincoln Way, Jacksonville |
| Proposed | — | ||
| ACT-011474 | Outreach address corrected Outreach | Raymond Patterson: 8662 Sage Ct, Chandler → 8662 Sage Ct # 505, Chandler |
| Proposed | — | ||
| ACT-011475 | Outreach address corrected Outreach | Brenda Porter: 9264 Oak St # 434, Tempe → 9264 Oak St, Tempe |
| Proposed | — | ||
| ACT-011476 | Outreach address corrected Outreach | Sharon Lynch: 7777 Grand Ave, Jacksonville → 7952 Mountain View Dr Apt 15, Nashville |
| Proposed | — | ||
| ACT-011477 | Outreach address corrected Outreach | Joshua Patel: 6986 Sage Ct, Mesa → 213 Mountain View Dr, Austin |
| Proposed | — | ||
| ACT-011478 | Outreach address corrected Outreach | Richard Webb: 5939 Highland Ave Apt 25, Austin → 5939 Highland Ave, Austin |
| Proposed | — | ||
| ACT-011479 | Outreach address corrected Outreach | Ashley Bryatn: 7372 Pine Dr, Miami → 7372 Pine Dr Apt 13, Miami |
| Proposed | — | ||
| ACT-011480 | Outreach address corrected Outreach | Albert Williams: 5057 Forest Ave # 799, Austin → 5057 Forest Ave, Austin |
| Proposed | — | ||
| ACT-011481 | Outreach address corrected Outreach | Walter Ward: 8712 Main St, Sacramento → 8712 Main St # 960, Sacramento |
| Proposed | — | ||
| ACT-011482 | Outreach address corrected Outreach | John Gomez: 8803 Pine Dr # 722, Tempe → 8803 Pine Dr, Tempe |
| Proposed | — | ||
| ACT-011483 | Outreach address corrected Outreach | Madison Gray: 6503 Maple Ave, San Antonio → 1612 Baseline Rd, San Antonio |
| Proposed | — | ||
| ACT-011484 | Outreach address corrected Outreach | Patricia Robertson: 5703 River Rd, Jacksonville → 2313 Church St, Nashville |
| Proposed | — | ||
| ACT-011485 | Outreach address corrected Outreach | Maria Chavez: 9462 Mountain View Dr, Atlanta → 9462 Mountain View Dr # 944, Atlanta |
| Proposed | — | ||
| ACT-011486 | Outreach address corrected Outreach | Judy Jimenez: 2760 Mesa Dr, Gilbert → 4481 Camelback Rd, Tampa |
| Proposed | — | ||
| ACT-011487 | Outreach address corrected Outreach | Abby Johnson: 658 Elm St, Charlotte → 1190 Park Pl Apt 18, Minneapolis |
| Proposed | — | ||
| ACT-011488 | Outreach address corrected Outreach | Linda Carr: 27 Forest Ave Apt 7, Columbus → 27 Forest Ave, Columbus |
| Proposed | — | ||
| ACT-011489 | Outreach address corrected Outreach | Julie Howard: 7117 Lake View Rd Apt 35, Tempe → 1877 Jefferson Ave, Glendale |
| Proposed | — | ||
| ACT-011490 | Outreach address corrected Outreach | Barbara Bishop: 4698 Willow Ct # 585, Mesa → 4698 Willow Ct, Mesa |
| Proposed | — | ||
| ACT-011491 | Outreach address corrected Outreach | Priya Simpson: 5204 Meadow Ln Apt 29, Columbus → 5204 Meadow Ln, Columbus |
| Proposed | — | ||
| ACT-011492 | Outreach address corrected Outreach | Doris Fernandez: 5596 Bayshore Dr, Jacksonville → 5596 Bayshore Dr Apt 40, Jacksonville |
| Proposed | — | ||
| ACT-011493 | Outreach address corrected Outreach | Albert Hayes: 7339 Hillcrest Rd, Plano → 7339 Hillcrest Rd Apt 9, Plano |
| Proposed | — | ||
| ACT-011494 | Outreach address corrected Outreach | Ryan Weaver: 4467 Mesa Dr # 496, Phoenix → 4467 Mesa Dr, Phoenix |
| Proposed | — | ||
| ACT-011495 | Outreach address corrected Outreach | Emma Richardson: 877 Central Ave, Phoenix → 877 Central Ave Apt 13, Phoenix |
| Proposed | — | ||
| ACT-011496 | Outreach address corrected Outreach | Samantha Meyer: 8827 Main St Apt 35, Chandler → 8827 Main St, Chandler |
| Proposed | — | ||
| ACT-011497 | Outreach address corrected Outreach | Evelyn Le: 1620 Central Ave, Glendale → 1620 Central Ave # 910, Glendale |
| Proposed | — | ||
| ACT-011498 | Outreach address corrected Outreach | Harold Ramirez: 4674 Apache Blvd Apt 12, Fresno → 6606 Forest Ave, Charlotte |
| Proposed | — | ||
| ACT-011499 | Outreach address corrected Outreach | Hannah Lewis: 236 Church St, Denver → 236 Church St # 728, Denver |
| Proposed | — | ||
| ACT-011500 | Outreach address corrected Outreach | Lawrence Morris: 6621 Central Ave, Jacksonville → 6621 Central Ave Apt 5, Jacksonville |
| Proposed | — | ||
| ACT-011501 | Outreach address corrected Outreach | Harold Nguyen: 4469 Union St, Plano → 8987 Central Ave, Los Angeles |
| Proposed | — | ||
| ACT-011502 | Outreach address corrected Outreach | Julie Banks: 2818 River Rd, Minneapolis → 2818 River Rd Apt 11, Minneapolis |
| Proposed | — | ||
| ACT-011503 | Outreach address corrected Outreach | Angela Wheeler: 1829 Grand Ave, Jacksonville → 1829 Grand Ave # 630, Jacksonville |
| Proposed | — | ||
| ACT-011504 | Outreach address corrected Outreach | Ethan Mejia: 6031 Forest Ave, San Antonio → 5630 Church St, Tempe |
| Proposed | — | ||
| ACT-011505 | Outreach address corrected Outreach | Carolyn Kelley: 4456 Jefferson Ave, Tampa → 3821 Market St, Tucson |
| Proposed | — | ||
| ACT-011506 | Outreach address corrected Outreach | Samuel Hart: 3954 Desert Sky Blvd, Tucson → 3954 Desert Sky Blvd Apt 8, Tucson |
| Proposed | — | ||
| ACT-011507 | Outreach address corrected Outreach | Linda Murray: 9085 Washington St Apt 28, Mesa → 9085 Washington St Apt 7, Mesa |
| Proposed | — | ||
| ACT-011508 | Outreach address corrected Outreach | Shirley Harris: 3593 Grand Ave # 614, Plano → 3593 Grand Ave, Plano |
| Proposed | — | ||
| ACT-011509 | Outreach address corrected Outreach | Emma Myers: 8549 Highland Ave, Los Angeles → 1779 Oak St, Sacramento |
| Proposed | — | ||
| ACT-011510 | Outreach address corrected Outreach | Cynthia Nelson: 4108 Forest Ave, Orlando → 4108 Forest Ave Apt 7, Orlando |
| Proposed | — | ||
| ACT-011511 | Outreach address corrected Outreach | Samuel Kelley: 6204 Union St, Orlando → 5846 Mountain View Dr, Phoenix |
| Proposed | — | ||
| ACT-011512 | Outreach address corrected Outreach | Peter Washington: 5478 Church St, Austin → 9079 Meadow Ln, Glendale |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.